Download this presentationClick below link (As may be) to get this presentation.

Integrating Medical Reserve Corps and Community Partners Into Real Events and Exercises

DownloadNote - The PPT/PDF document "Integrating Medical Reserve Corps and Co..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.

Presentations text content in Integrating Medical Reserve Corps and Community Partners Into Real Events and Exercises

Integrating Medical Reserve Corps and Community Partners Into Real Events and Exercises

Central Shenandoah Health District

Hilary Jacobson, MS, NRP, Emergency Coordinator

Christopher Rini, MPH, MRC Coordinator

Virginia Public Health and Healthcare Preparedness Academy

June 1

st

, 2017

Objectives

Describe how Community Partners, including Emergency Medical Service (EMS) and Medical Reserve Corps (MRC) personnel can be successfully integrated into a public health exercise or event

Describe how the public health department ensures competency of EMS and MRC Volunteers in a public health exercise

Why Partnerships are Important

Preparedness exercises test how we can scale up and react in a real world situation

Utilizing volunteers in exercises prepares us and them on how we would be able to

staff community health operations

Continuity of

Operations

A

llow

public health staffing to continue essential operations.

Increases interactions of public

health, healthcare community,

and the public

Utilizing the Whole Healthcare Community

Exposes

healthcare volunteers

to public health operations and concerns.

Builds relationships and improves trust

Valuable assets during an actual event

Improves planning efforts as the full resources of the community are involved

Shared understanding of community needs and capabilities

Greater empowerment and integration of resources from across the community

Increased

individual and collective preparedness

Greater resiliency at

the

community and

regional levels

Medical Reserve Corps and Public Health

The Virginia Medical Reserve Corps (MRC)

is a force of dedicated volunteers who stand ready to support the community in the event of a public health emergency.

Each

of the 27 local MRC units is comprised of teams of medical and public health professionals who, along with interested community members, volunteer their skills, expertise and time to

support ongoing public health initiatives and assist during emergencies throughout Virginia

Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP) — United States, 2014–15 Influenza Season

August 15, 2014 / 63(32);691-697 if administering only influenza. (

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6332a3.htm

)

Centers for Disease Control and Prevention (CDC)

Training and Continuing Education Online http://www.cdc.gov/vaccines/ed/epivac/default.htm and complete the activities needed to get a certificate.Take the 10-item vaccine specific module test. Passing score of 80% on the test. Undergo skills assessment

certification.

The

skills assessment certification will be performed by the districts IAP or SME RN.

MRC Provider KSA in 2017

MRC Vaccinator Knowledge Assessment:

Training Plan on TRAIN – Complete one course per section

Principles of Vaccination

General Vaccination Recommendations

Vaccine Storage & Handling and Administration

Influenza Vaccine

OR

Diphtheria,

Pertussis and Tetanus / TDAPDeveloped by VDH Office of Public Health Nursing in partnership with VAMRCNow with TDAP!

This process is per the Virginia Department of Health Policy for Vaccine Administration by Emergency Medical Services Providers in Virginia and follows Amendments to the Code of Virginia, recognizing certain EMS providers as vaccine administrators. “Just in

Time

” is defined as training immediately prior to a vaccine event. As soon as the training is completed, EMS providers can vaccinate.

The

EMS agency will be responsible for

:

Providing an Operational Medical Director who is affiliated with the EMS agency. The OMD serves as the “prescriber” and is a licensed practitioner in the Commonwealth authorized to issue to a prescription.

Determining which EMS providers are qualified to participate as a vaccinator.

Providing the Health Department with a list of all qualified EMS providers prior to training.

Ensuring all qualified EMS providers receive and are checked off on just in time training prior to administering Influenza vaccine.

Ensuring all EMS providers adhere to the protocol as set forth by the Health Department

.

The Health Department will be responsible for

:

Procurement of vaccine and other supplies necessary for Influenza vaccine administration.

Emergency medical kit for allergic reactions.

Ensuring appropriate storage, handling, and transport of vaccine.

All forms necessary for administration of influenza vaccine.

Just in time training to qualified EMS providers by Licensed Registered Nurses.

Entering the encounters into VIIS.

Reporting Adverse Reactions

6

Volunteer Vaccinator Procedure

Utilized by

Central Shenandoah Health District

The Nurse will review the following material with the qualified EMS providers:

Verify TRAIN Course Completion and OMD Authorization Letter

VDH – Annual Skills Checklist for

Immunization

Inactivated

Influenza Vaccine Information

Statement.

This must be given to every person before they are vaccinated.Contraindications and precautions to Inactivated Influenza Vaccine for adults and children.How to report an Adverse Vaccine Event.

Informed

Consent Form with screening questionnaire for Influenza Vaccination

Confidentiality of all client

information

Just in Time Materials

are reviewed

prior to EMS personnel being allowed to operate in

exercise or event;

and available for reference as needed

CSHD - Drug Formulary

7

8

Case Study:

Augusta Health

FluEx

Event Date: October 8, 2015

9

Case Study – 2015 Augusta Health

FluEx

MRC Volunteers activated

via Virginia Volunteer Health System Alert

10 volunteers

responded as available – 4 Responded

Registration: 1 volunteer worked with CSHD clerical team

Traffic Director: 1 volunteer worked with team of CERT volunteers to coordinate traffic flow into and out of POD site

Vaccinators attended Joint Just in Time Training with Augusta Health and Health Department Staff

525 Vaccines Dispensed in 2.5 Hours by 64 Persons

0

Case Study:

Hepatitis A Point of Dispensing Sites

Event Date:

August, 2016

1

Case Study – Hepatitis A Outbreak

A greater than expected number of cases of Hepatitis A was noted in the greater Augusta region of CSHD since the beginning of the

2016 with no

common

source.

Many of the primary cases

had a

history of drug use, but no obvious common source for the illicit drugs has been found. Many of the cases have been more severe than typical for hepatitis A, with liver enzymes in the thousands and need for in-patient care for several of the patients

.

Weekly Hepatitis A Vaccination Point of Dispensing Sites were established for each Wednesday in the month of August.

Exercises were a test of the ability for Central Shenandoah Health District to set-up and operate two Point of Dispensing Exercises within a week and limited staff. A total of 9 CSHD personal participated in the below exercises.